HomeMy WebLinkAboutPlumbing Permits 04-410,411,412
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 Wh.ile
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 01-.0""10
(Please type or urint and silm at bottom)
ADDRESS
,RU$j7)Jer~V i{J~ e-
:3 ~z. (p
LEGAL DESCRIPTION (office use only)
s()~~
PIDZI~. 39r. OIl-, 0
LOT
ADDITION \ Je.fFer-s
11)~a~
(Phone)
BLOCK
OWNER
(Name)
v
(Address)
BUILDER
(Company Name)
(Contact Name)
I (Address)
(' L fA)
(Phone)
(Phone)
Date Rec' d
>.(0.04-
ZONING (office use)
TYPE OF WORK. 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
I
B
S U
PROJECT COST IV ALUE $
(excluding land)
frr;qc~-fIOAj cS'1s--}e;r-
I hereby certify that I have hlrnished information on this application which is to the best of my knowledge tme and correct J also certify thaI I am the owner or authonzcd agent for the
above-mentIOned property and tha~ all cons Iction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
;"'1 '7f;;,:;;;m" 'Z ""' "...h"mo<e. I hmby '.<e, thot th, city ollki,1 0" d"ignee m,y ,nt" opon th, pmp'rty to p"fo.m n"d~:40'~'o y
- [Y / / Signature
Permit ValuatiorV'
Permit Fee
SO().oo
I Recei~ 4t. 4 II
By d fJA---
/
mrvvA
HIM R
2 3 4 5
I
E
Contractor's License No.
Park Support Fee
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
SAC
#
Water Meter
Size 5/8"; 1";
~/f
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
~
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
S7'JO. 00
" .to . 0 c;.--'
Paid
Date
BlIildlllc-Ollicial
Dat~
Date
$
$
$
$
$
$
$
$
$
5(y), -
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This dncumenl
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
S. /0;04-
(Please.!VD~ or print and sian at bottom)
ADDRESS
1. Blue File I PERMIT NO I
2. Gold Ci~ . 0 1-. t) -1-/ /
J. Yellow Applicant
.3ez,{p
1(a5P bc'rrv R/04e--
ZONING (offkeuse)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
J ~ffe.yS ,SoL-v'th
Pro z..r. :J'f s--, 0 I Z. 0
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher ' Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) Siand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink / Lawn Sprinkler
Water Closet (Toilet) Other
FEESCHEDUL~rl"kla.TicJN 5ljsteIVL
$99.50
$39.50
BLOCK
, OWNER.
(Name) V-!,,v<; J111iA-A/
~~e5
(Address)
\
APPLICANT
(Name) Ve/V~~ I
;O,i-"", ~'r
(Address) I?/t? It/u-~ frl_./ E;." ~._
r
(Address)
(Contact Person) /J1r'k~ M../'Mt.~~~
APPLICANT SIGNATURE ~ a~
I Quantity
I
I
I
I
I
I
I
I
I
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Buildiug Permit Wheu Approved
Building Official
Date
(Phone)
(Phone) C ,l;/- <r .s-;;l. (5 C r
/15/;:J-/
(City) (Zip Code)
(Phone) r. st- 7?S-:l..?{9
DATE 5 - S-c:;> /'
Residential, New One & Two-Family
Residential. Additions & Alterations
Building Permit # 04- . 0 -1-/ /
.39. ~-O
.50
40 . (/0
$
$
$
I Paid 4--0. r(7J
I Dates.! 0,04--
Receipt N~'1/1
By #"
/
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372,1714
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
r,/b,4 4--
1) n .
k(i4fhe~)1 ~~~
LEGAL DESCRIPTION (office use only)
/}~
ADDITION ( J
T IJ
I /)L/iZ{J./1}1~
(Please type or 'Orint and sign at bottom)
I ADDRESS
3~Z(p
LOT
BLOCK
OWNER
(Name)
. (Address)
APPLICANT
(Name)
rl L.- uJ
(Address)
(Address)
(Contact Person)
APPLICANT SIGNATURE
;:: ~:~ IYEKMli'NO. ().J . 04-1' L
3 Yellow Applicant I - "---r
ZONING (office use)
~
&o-dL
PlD2,.}-. J'iJ-.O/2-.6
(Phone)
(Phone)
(City)
(Zip Code)
(Phone)
DATE
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
I Type of Fixture
I Bath Tub with or withoul shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
i Bar Sink
I Water Closet (Toilet)
Quantity
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
~QlUI~ h7~
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$ .50
$ L-/t),---
I Paid
I Date
I Receipt No.
I By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372,1714
~=:~~-:~_~:5:~;~-~' -~,:~~:;?i*;; :- ."
-'~:'~~---:"
----- ._-~~._---
-~.;::~:~~:' --~-- ' -
...,....-~.-
-".....~~,~_.-
.. ~-_._-- ~. ~--,.- ..,..." ---
-,..-.---.-. -,-_._---~-~ -~-..-
~_.- -.,"' --_._~. -~ ----.--..
_.._---.._~. '-",:"
-~~-~-
......- _..'~.~.._--- ."-
-_. -. ~.__.,
-.""-----~~''''_.
,', -''''-''.~
_,n.-.-
I
....:
.'.'1
. ..
A.....;
i$/'.
~".:~~
JEFFERS SOUTH CONDOS
28 UNITS
,.
""-,,,,""':!"'_,:Jt.r
;::
a
.. <(
O'
c:<
,..
.....
~. 7.:
;. ...:5
'0.
'.u.
-'~"'~','-'..
)
:0"
~ .
<-.JEFFERS SOUTH TOWNHOME=S ,.
. , -, -
31 UNITS
.~
y'/'-'
'"
, ..
h.
v
"
....,....,."'~
, ,
-'1
,
\
--.--..----. _.
~_.~- --_._-~--- '-- _.-.
ADDRESS
,,-~fa~
DATE TIME
SCHEDULED ;(.,- /) i'
f?.z4A? PI;i;c f?
F/. I }I -
CONTR. . '(/'
"1-
PERMIT NO. /) II LlII Lf I J..--
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
COMMENTS:
o PLUMBING Rl 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE Rl
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL ~ /2/); t ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
J
V
k
/
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~' CALL FOR.RElNSPECTlON BEFORE COVERING
Inspector. . fJ!!;~ Owner/Contr:
CALL 1/.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
UiSNOTl